A Systematic Review of the Association Between Psychiatric Disturbances and Endometriosis

Pope, Carley J.; Sharma, Verinder; Sharma, Sapna; Mazmanian, Dwight

doi:10.1016/s1701-2163(16)30050-0

Cited by 158 publications

(114 citation statements)

References 57 publications

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“…They found that 86.5% presented depressive symptoms and 87.5% presented anxiety and, most important, that psychiatric symptoms were not associated with endometriosis stage 33. In this study, age correlated positively with depressive symptoms, while there was no association between age and anxiety symptoms 25,33. Nevertheless, other authors found that only 29% of endometriotic women showed moderate to severe anxiety symptoms, while depression was present in 14.5% 21…”

Section: Anxiety and Depressive Symptoms In Women With Endometriosiscontrasting

confidence: 55%

“…Pope et al25 underlined that endometriosis is related to a wide range of psychiatric symptoms, especially depression, anxiety, psychosocial stress and a poor quality of life. According to recent literature,21,23,25–31 depression and anxiety are the most common disorders associated with endometriosis. In this context, Low et al32 investigated the possibility of a specific psychological profile associated with endometriosis.…”

Section: Anxiety and Depressive Symptoms In Women With Endometriosismentioning

confidence: 99%

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Anxiety and depression in patients with endometriosis: impact and management challenges

Laganà

Rosa

Rapisarda³

et al. 2017

IJWH

315

227

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Endometriosis is one of the most common gynecological diseases and affects ~10% of women in reproductive age. The most common clinical signs of endometriosis are menstrual irregularities, chronic pelvic pain (CPP), dysmenorrhea, dyspareunia and infertility. Symptoms of endometriosis often affect psychological and social functioning of patients. For this reason, endometriosis is considered as a disabling condition that may significantly compromise social relationships, sexuality and mental health. Considering this point, the aim of this narrative review is to elucidate the impact of anxiety and depression in the management of women with endometriosis. Psychological factors have an important role in determining the severity of symptoms, and women who suffer from endometriosis report high levels of anxiety, depression and other psychiatric disorders. In addition, endometriosis is one of the most important causes of CPP; women with endometriosis suffer from a wide range of pelvic pain such as dysmenorrhea, dyspareunia, nonmenstrual (chronic) pelvic pain, pain at ovulation, dyschezia and dysuria. Several studies have underlined the influence of CPP on quality of life and psychological well-being of women with endometriosis. Data suggest that the experience of pelvic pain is an important component of endometriosis and may significantly affect emotive functioning of affected women. It has been demonstrated that high levels of anxiety and depression can amplify the severity of pain. Further studies are needed to better understand the relationship between psychological factors and perception of pain. Treatment of endometriosis may be hormonal or surgical. Surgery is the primary treatment for more severe forms of endometriosis. There are few data in the literature about the influence of psychological factors and psychiatric comorbidities on the effectiveness of treatments. It is important to evaluate the presence of previous psychiatric diseases in order to select the most appropriate treatment for the patient.

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Section: Anxiety and Depressive Symptoms In Women With Endometriosiscontrasting

confidence: 55%

Section: Anxiety and Depressive Symptoms In Women With Endometriosismentioning

confidence: 99%

Anxiety and depression in patients with endometriosis: impact and management challenges

Laganà

Rosa

Rapisarda³

et al. 2017

IJWH

315

227

View full text Add to dashboard Cite

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“…La ansiedad y depresión son los trastornos que más presentan comorbilidad en la endometriosis, y tienden a co-ocurrir de manera conjunta (7,21,22), encontrándose niveles altos de ansiedad rasgo en las mujeres con esta enfermedad. (4).…”

Section: Respuesta Emocional Y Desordenes Psiquiátricosunclassified

“…Las mujeres con endometriosis presentan mayores niveles de psicoticismo e introversión que otras condiciones ginecológicas (24 en 7) y presentan una asociación con trastorno bipolar (7). Por otro lado, no presentan diferenciación en índices de trastorno obsesivo compulsivo, ideación paranoide y rabia (21).…”

Section: Respuesta Emocional Y Desordenes Psiquiátricosunclassified

Endometriosis: Aspectos Psicologicos

Quintero

Vinaccia

Quiceno

2017

Rev. chil. obstet. ginecol.

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RESUMENLa endometriosis es la causa más común de dolor pélvico crónico femenino. A pesar del tratamiento médico, muchas mujeres no logran controlar el dolor, con la consecuencia de restricciones más o menos graves en la vida laboral, social, familiar, de pareja y sexual. En América Latina y específicamente en idioma español hay escasa información sobre las relaciones de la endometriosis con factores psicológicos que se encuentran enmarcados dentro de esta enfermedad. Por este motivo, el objetivo de este estudio es analizar esta patología estrógeno-dependiente y su asociación con diferentes aspectos psicológicos, así como su abordaje terapéutico. Para esto se realizó una búsqueda sistemática en bases de datos. Los resultados indican que la endometriosis es una enfermedad que genera como sintomatología, dolor crónico, el cual afecta de manera negativa la calidad de vida, relaciones de pareja, fertilidad, y estado emocional, generando ansiedad y depresión entre otros trastornos psiquiátricos. Los anteriores factores influyen de la misma forma, de manera negativa en la percepción del dolor, aumentando el ciclo. Debido a esto se concluye que el tratamiento psicológico podría ser un apoyo necesario para las mujeres que padecen endometriosis, en donde el manejo de dolor y los mecanismos de afrontamiento, deben ser los objetivos principales en el plan terapéutico. PALABRAS CLAVE: Endometriosis, calidad de vida, dolor crónico, dismenorrea, emociones negativas ABSTRACTThe endometriosis is the most common cause of chronic female pelvic pain. Despite medical treatment, many women are unable to control their pain, limiting their social, family, sexual life and couple sexual life. In Latin America and specifically in Spanish language, there is no much information on the relationships between endometriosis with psychological factors from this disease. The aim of this study was to analyze the different psychological aspects related and the therapeutic approach of this estrogen-dependent pathology. A systematic search on databases was carried out for this end. The results indicate that pain chronic is a factor important in this illness, which negatively affects quality of life, couple relationships, fertility, and emotional state, generating anxiety, depression and another psychiatric disorders. These factors increase negatively pain perception and get worse the course of the disease. Conclusion: psychological treatment could be a necessary support for women who suffering from endometriosis, where pain management and coping mechanisms could be the main aims at the therapeutic plan.1 3271 palabras contadas desde el inicio de la Introducción hasta las referencias. 2MSc en Psicología clínica y de la salud. Fundación

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“…Individuals with chronic pain are known to be at increased risk of psychiatric disorders, particularly those involving low mood and anxiety [1][2][3] and Posttraumatic Stress Disorder (PTSD) [4,5]. Evidence shows that chronic pain sufferers with comorbid anxiety, depression, and PTSD present with greater levels of pain-related impairment, respond less well to pain focused treatment, and incur greater health costs [5][6][7][8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

The Relationship Between Posttraumatic Stress Disorder and Chronic Pain in People Seeking Treatment for Chronic Pain

Åkerblom

Perrin²,

Fischer

et al. 2018

The Clinical Journal of Pain

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Objectives: The symptoms of Posttraumatic Stress Disorder (PTSD) and chronic pain are thought to interact to increase the severity and impact of both conditions, but the mechanisms by which they interact remain unclear. This study examines the relationship between PTSD and chronic pain and whether indices of psychological flexibility mediate the relationship between these two conditions.Methods: Standardized self-report measures of PTSD, pain severity, pain interference, depression, and psychological flexibility (pain-related acceptance, committed action, cognitive fusion, and values-based action) were obtained from 315 people seeking treatment for chronic pain who also reported at least one traumatic experience.Results: People seeking treatment for chronic pain reporting symptoms consistent with a current diagnosis of PTSD had significantly higher levels of pain severity, pain interference, depression, and cognitive fusion and lower levels of pain-related acceptance and committed action than those reporting symptoms below diagnostic threshold for PTSD. Pain-related acceptance, committed action, cognitive fusion and depression mediated the relationship between PTSD and pain severity/interference, with pain-related acceptance being the strongest mediator from the psychological flexibility model.

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A Systematic Review of the Association Between Psychiatric Disturbances and Endometriosis

Abstract: Objective: An association between endometriosis and psychiatric disturbances has been identified by some researchers. The purpose of this systematic review was to consolidate existing empirical findings to clarify the association between endometriosis and psychiatric conditions .

Cited by 158 publications

References 57 publications

Anxiety and depression in patients with endometriosis: impact and management challenges

Anxiety and depression in patients with endometriosis: impact and management challenges

Endometriosis: Aspectos Psicologicos

The Relationship Between Posttraumatic Stress Disorder and Chronic Pain in People Seeking Treatment for Chronic Pain

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